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最大化与患者相处的时间:医师助手的创新理念。

Maximizing Time with the Patient: the Creative Concept of a Physician Scribe.

作者信息

Menon Smitha P

机构信息

Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI, 53226, USA.

出版信息

Curr Oncol Rep. 2015 Dec;17(12):59. doi: 10.1007/s11912-015-0484-7.

DOI:10.1007/s11912-015-0484-7
PMID:26475774
Abstract

The universal implementation of electronic health records has transformed the practice of medicine. However, there is a general perception that electronic health records impede effective communication with patients. Clinicians feel that they paradoxically spend more time doing nonclinical tasks like documentation and writing orders and less time interacting with their patients. This article evaluates the role of medical scribes in augmenting physician workflows and examines if employing a scribe can enhance physician-patient interactions.

摘要

电子健康记录的普遍应用改变了医学实践。然而,人们普遍认为电子健康记录妨碍了与患者的有效沟通。临床医生觉得矛盾的是,他们花更多时间做诸如记录和开医嘱等非临床任务,而与患者互动的时间却更少。本文评估了医疗抄写员在优化医生工作流程中的作用,并探讨聘用抄写员是否能增强医患互动。

相似文献

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Maximizing Time with the Patient: the Creative Concept of a Physician Scribe.最大化与患者相处的时间:医师助手的创新理念。
Curr Oncol Rep. 2015 Dec;17(12):59. doi: 10.1007/s11912-015-0484-7.
2
Scribes in an ambulatory urology practice: patient and physician satisfaction.门诊泌尿科实践中的抄写员:患者和医生的满意度。
J Urol. 2010 Jul;184(1):258-62. doi: 10.1016/j.juro.2010.03.040. Epub 2010 May 16.
3
Variable Impact of Medical Scribes on Physician Electronic Health Record Documentation Practices: A Quantitative Analysis Across a Large, Integrated Health-System.医疗抄写员对医生电子健康记录文档记录实践的影响具有变异性:一项在大型综合性医疗系统中的定量分析。
J Am Board Fam Med. 2024 Mar-Apr;37(2):228-241. doi: 10.3122/jabfm.2023.230211R2.
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Physician, Scribe, and Patient Perspectives on Clinical Scribes in Primary Care.医生、病历录入员和患者对基层医疗中临床病历录入员的看法。
J Gen Intern Med. 2016 Sep;31(9):990-5. doi: 10.1007/s11606-016-3719-x. Epub 2016 Apr 29.
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Clinical scribes and their association with patient experience in the otolaryngology clinic.临床抄写员及其与耳鼻喉科诊所患者体验的关联。
Laryngoscope. 2020 Apr;130(4):E134-E139. doi: 10.1002/lary.28075. Epub 2019 May 21.
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Influence of Scribes on Patient-Physician Communication in Primary Care Encounters: Mixed Methods Study.抄写员对基层医疗会诊中患者与医生沟通的影响:混合方法研究
JMIR Med Inform. 2019 Jul 11;7(3):e14797. doi: 10.2196/14797.
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Emergency consultants value medical scribes and most prefer to work with them, a few would rather not: a qualitative Australian study.澳大利亚一项定性研究显示,急诊顾问看重医疗转录员,大多数人更愿意与他们一起工作,也有少数人更愿意不与他们一起工作。
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Medical Scribes Have a Variable Impact on Documentation Workflows.医疗抄录员对文档工作流程有不同的影响。
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Feasibility evaluation of a pilot scribe-training program in an Australian emergency department.澳大利亚急诊科试行抄写员培训项目的可行性评估。
Aust Health Rev. 2018 Apr;42(2):210-217. doi: 10.1071/AH16188.

引用本文的文献

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How Providers Can Optimize Effective and Safe Scribe Use: a Qualitative Study.如何优化有效且安全的电子病历录入员使用:一项定性研究。
J Gen Intern Med. 2023 Jul;38(9):2052-2058. doi: 10.1007/s11606-022-07942-2. Epub 2022 Nov 16.
2
Clinically Excellent Use of the Electronic Health Record: Review.电子健康记录的临床卓越应用:综述
JMIR Hum Factors. 2018 Oct 5;5(4):e10426. doi: 10.2196/10426.
3
Finnish healthcare professionals' attitudes towards robots: Reflections on a population sample.芬兰医疗保健专业人员对机器人的态度:对一个人口样本的思考。

本文引用的文献

1
Re: The Use of Medical Scribes in Health Care Settings: A Systematic Review and Future Directions.
J Am Board Fam Med. 2015 Sep-Oct;28(5):684-5. doi: 10.3122/jabfm.2015.05.150184.
2
Medical Scribes and Electronic Health Records.
JAMA. 2015 Aug 4;314(5):518-9. doi: 10.1001/jama.2015.6947.
3
The use of medical scribes in health care settings: a systematic review and future directions.医疗环境中医疗抄写员的使用:系统评价与未来方向。
J Am Board Fam Med. 2015 May-Jun;28(3):371-81. doi: 10.3122/jabfm.2015.03.140224.
4
Nurs Open. 2018 Mar 23;5(3):300-309. doi: 10.1002/nop2.138. eCollection 2018 Jul.
The rise of the medical scribe industry: implications for the advancement of electronic health records.医学抄写员行业的兴起:对电子健康记录发展的影响。
JAMA. 2015 Apr 7;313(13):1315-6. doi: 10.1001/jama.2014.17128.
5
An ED scribe program is able to improve throughput time and patient satisfaction.ED 电子病历录入员项目能够提高工作效率和患者满意度。
Am J Emerg Med. 2014 May;32(5):399-402. doi: 10.1016/j.ajem.2013.03.040. Epub 2014 Mar 15.
6
Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations.电子健康记录中的复制、粘贴和克隆笔记:流行率、益处、风险和最佳实践建议。
Chest. 2014 Mar 1;145(3):632-8. doi: 10.1378/chest.13-0886.
7
Clinical benefits of electronic health record use: national findings.电子健康记录使用的临床效益:全国性发现。
Health Serv Res. 2014 Feb;49(1 Pt 2):392-404. doi: 10.1111/1475-6773.12135. Epub 2013 Dec 21.
8
Impact of scribes on patient interaction, productivity, and revenue in a cardiology clinic: a prospective study.抄写员对心脏病诊所患者互动、工作效率和收入的影响:一项前瞻性研究。
Clinicoecon Outcomes Res. 2013 Aug 9;5:399-406. doi: 10.2147/CEOR.S49010. eCollection 2013.
9
The good, the bad and the early adopters: providers' attitudes about a common, commercial EHR.好的、坏的和早期采用者:提供者对常见商业电子健康记录的态度。
J Eval Clin Pract. 2014 Feb;20(1):36-42. doi: 10.1111/jep.12076. Epub 2013 Aug 20.
10
The wave has finally broken: now what?浪潮终于退去:接下来该如何应对?
J Am Med Inform Assoc. 2013 Jun;20(e1):e21-5. doi: 10.1136/amiajnl-2012-001508. Epub 2013 Mar 28.